Transperineal ultrasonography as a practical method to evaluate pelvic floor and lower urinary tract dysfunction in females

Choonpa Igaku ◽  
2015 ◽  
Vol 42 (5) ◽  
pp. 617-629
Author(s):  
Maki NAKATA
1996 ◽  
Vol 63 (4) ◽  
pp. 436-440
Author(s):  
D.B. Vodušek

Neural control of lower urinary tract function can in principle sustain two basic activities - urine storage and emptying. It can be conceptualised to consist of control elements for determining: the thresholds for detrusor and sphincter activation; the gain adjustments for their function; the filter and switch mechanisms to control flow of information. Lower urinary tract dysfunction can be due to a dysfunctioning neural control even if there is no overt neurological disease. Electrical stimulation can be applied not only to substitute for lost neural control, but also for achieving a clinically relevant improvement of the dysfunctional lower urinary tract. Depolarisation of motor and sensory fibres in sacral roots leads to pelvic floor contraction and inhibition of the (active) detrusor, and it is considered that longer periods of such stimulation lead to pelvic floor muscle hypertrophy, changes in motor unit metabolism and other changes. It is postulated that there are perhaps even more important effects on the central nervous system which can be conceptualised as modifications of the dysfunctional neural control (i.e. “neuromodulation”).


Children ◽  
2019 ◽  
Vol 6 (8) ◽  
pp. 88
Author(s):  
Kathryn E. Morgan ◽  
Susan V. Leroy ◽  
Sean T. Corbett ◽  
Jaclyn A. Shepard

Lower urinary tract dysfunction in children is a common multifactorial functional problem that often correlates with bowel dysfunction and behavioral disorders. Ideal management combines integrative therapies that optimize bladder and bowel habits, address behavioral issues, foster mind–body connection, and improve pelvic floor muscle dysfunction. Movement therapies that teach diaphragmatic breathing and relaxation, mind–body awareness, and healthy pelvic floor muscle function are vital for long-term symptom improvement in children. This paper outlines recommendations for integrative management of these patients and discusses a recently developed interprofessional clinic that aims to better meet these patients’ complex needs and to provide patients with an integrated holistic plan of care. Additional work is needed to scientifically assess these treatment models and educate providers across the various disciplines that evaluate and treat these patients.


2010 ◽  
Vol 29 (8) ◽  
pp. 1410-1413 ◽  
Author(s):  
Adélia Correia Lúcio ◽  
Renata Martins Campos ◽  
Maria Carolina Perissinotto ◽  
Ricardo Miyaoka ◽  
Benito Pereira Damasceno ◽  
...  

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